Medicine Mart 4TH Ave

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICINE MART 4TH AVE

Practice address

402 S 4TH Ave
Yakima, WA 98902-3546

Phone

(509) 457-2412

Fax

(509) 575-4236

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Murdock

Title

President

Phone

(509) 457-2412

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Medicine Mart 4TH Ave2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medicine Mart Downtown

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1679685580
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942312863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S 4TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 4TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023546",
            "telephone_number": "509-457-2412",
            "fax_number": "509-575-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MART 4TH AVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-457-2412"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00056127",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4926323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021224",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of Yakima, LLC (Richard B Boyd, MD)
• Medical Associates of Yakima, LLC (Cornerstone Medical Clinic)
• Medical Center (Medicine Mart)
• Medical Center Laboratory, Inc. PS
• Medical Center Physical Therapy & Sports Rehab Inc PS
• Medicine Mart Downtown
• Ayla Naomi Medina-Ulloa
• Jasmine Medrano
• Julie Sue Medrano, RN
• Cheryl Lynette Meenach

• Community/Retail Pharmacy in Yakima, WA
• Providers in Yakima, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.